abstract：:A comprehensive family practice clerkship program at Howard University College of Medicine has been conducted since 1970. This institution is one of three predominantly black institutions offering a family practice program. The senior clerkship is mandatory and at least 20 to 25 percent of each class elect to particip...

journal_title：Journal of the National Medical Association

authors： Bang KM,Greene EJ,Williams HW Jr,Leath BA,Matthews R

更新日期：1988-08-01 00:00:00

abstract：:A retrospective descriptive study of older patients evaluated by the psychiatric emergency service (PES) of a general hospital was implemented. The medical records of all patients aged 65 years and older evaluated by the PES during the 1980 calendar year were reviewed. Seventy-four patients were identified, 38 male an...

journal_title：Journal of the National Medical Association

authors： Baker FM,Scholhamer N

更新日期：1988-07-01 00:00:00

abstract：:As only 600 of the 30,000 psychiatrists in America are black, it is apparent that black psychiatrists in the United States will not be able to meet the needs of all the mentally ill blacks in this country. In view of this situation, the authors feel that psychiatric residency training programs should prepare psychiatr...

journal_title：Journal of the National Medical Association

authors： Bell CC,Fayen M,Mattox G

更新日期：1988-06-01 00:00:00

abstract：:The surgeon's responsibility to patients with colorectal cancer does not end with resection of the primary locoregional disease. The surgeon has a role to play in (1) designing and implementing strategies aimed at preventing recurrence, (2) early detection of recurrent disease, and (3) resective therapy of recurrent d...

journal_title：Journal of the National Medical Association

authors： Bolton JS,Vauthey JN,Sauter ER

更新日期：1988-05-01 00:00:00

abstract：:Meager information exists regarding the morbidity of cancer surgery in obese patients, and it is generally assumed that surgery in the obese patient is attended with increased complications over those found in nonobese patients. A retrospective evaluation was undertaken at the Louisiana State University Medical Center...

journal_title：Journal of the National Medical Association

authors： Chapman GW Jr,Mailhes JB,Thompson HE

更新日期：1988-04-01 00:00:00

abstract：:An hypothesis is proposed that there exists a subgroup of African-American hypertensive patients whose hypertension could have been prevented by the early detection and treatment of easily recognizable symptoms that signal the initiation of the pathophysiologic processes that lead to essential hypertension.A pilot stu...

journal_title：Journal of the National Medical Association

authors： Bell CC,Hildreth CJ,Jenkins EJ,Carter C

更新日期：1988-03-01 00:00:00

abstract：:An update of the state of the art of cancer chemotherapeutic treatment of genitourinary tract cancer is described in this multi-part series. Included in the review are cancers of the kidney, bladder, prostate, testicle, ovary, uterus, vulva, and gestational trophoblastic neoplasms. Part 2 focuses on Wilms' tumor and b...

journal_title：Journal of the National Medical Association

authors： Wright JC

更新日期：1988-02-01 00:00:00

abstract：:The achievements of 19th century medical education, practice, literature, and science and their affect on 20th century medicine are reviewed. The contributions made by 19th century physicians to change medical education are described, as well as the social processes that influenced medicine and science in both centuri...

journal_title：Journal of the National Medical Association

authors： Bloch H

更新日期：1988-02-01 00:00:00

abstract：:Liposuction (suction-assisted lipectomy) is today an accepted, closed surgical technique utilized by physicians practicing in a number of different specialties. It is a procedure that can be learned and used as an adjunct to a number of open procedures, including rhytidectomy and abdominoplasty.THE TWO PRINCIPAL KEYS ...

journal_title：Journal of the National Medical Association

authors： Sumrall AJ

更新日期：1987-12-01 00:00:00

abstract：:The author traces the history of theories of food digestion from the prescientific era to the chemical techniques of 19th century investigators. ...

journal_title：Journal of the National Medical Association

authors： Bloch H

更新日期：1987-11-01 00:00:00

abstract：:The title "Doctor" has an interesting and not commonly understood inception, and those entitled to use the accolade Doctor have had an interesting evolution. The title is now used by a plethora of individuals with a variety of skills and levels of achievement. A random survey of the population reveals that the public ...

journal_title：Journal of the National Medical Association

authors： Hrisomalos NF

更新日期：1987-11-01 00:00:00

abstract：:Dehydration is the most common fluid and electrolyte problem among the elderly. The usual causes of water loss are frequently absent in dehydrated elderly patients. Age-related changes in total body water, thirst perception, renal concentrating ability, and vasopressin effectiveness probably predispose to dehydration....

journal_title：Journal of the National Medical Association

authors： Lavizzo-Mourey RJ

更新日期：1987-10-01 00:00:00

abstract：:Ten patients underwent implantation of intrathecal morphine catheters with subcutaneous implantation of morphine Infusaid pumps for the treatment of intractable pain of malignant origin from May 1984 to October 1985. All patients exhibited a good initial response to intrathecal morphine and developed some degree of to...

journal_title：Journal of the National Medical Association

authors： Dennis GC,DeWitty R

更新日期：1987-09-01 00:00:00

abstract：:The author presents a dietary program for weight reduction based not on the substitution of a low calorie meal for a high calorie meal, but on the pre-meal ingestion of low calorie bulk beverages that are pleasant to taste and space filling, thereby compromising the capacity of the stomach to accommodate much of the h...

journal_title：Journal of the National Medical Association

authors： Broomes EL

更新日期：1987-08-01 00:00:00

abstract：:Music is a convenient way of bypassing barriers of communication and eliciting responses that may be helpful in the diagnoses and treatment of illness. The use of background music in elevators, in doctors' offices, and in stores are good examples of how music can be used to affect the subconscious mind. In this pilot ...

journal_title：Journal of the National Medical Association

authors： Jones NL,Molnar ET,Knasel AL

更新日期：1987-08-01 00:00:00

abstract：:The author presents a four-year follow-up of a male patient with cancer of the breast. The lesion was large, fungating, and ulcerating. It was treated effectively with cobalt without mastectomy. ...

journal_title：Journal of the National Medical Association

authors： Davidson AT

更新日期：1987-08-01 00:00:00

abstract：:Adynamic ileus due to invasion of the myenteric plexus of the small and large intestine was a significant symptom in a patient with a peritoneal mesothelioma. A record of this unusual complication was not found in the medical literature surveyed. ...

journal_title：Journal of the National Medical Association

authors： Johnson HR,Smith HB,Miller JM

更新日期：1987-07-01 00:00:00

abstract：:If minority students likely to score low on the Medical College Admissions Test (MCAT) can be identified in advance, they can be advised to take existing preparatory programs, or programs can be developed to meet their needs. Correlation coefficients for a number of available independent variables with MCAT scores wer...

journal_title：Journal of the National Medical Association

authors： Carmichael JW Jr,Bauer J,Hunter JR,Labat DD,Sevenair JP

更新日期：1987-06-01 00:00:00

abstract：:Painful palmar and plantar erythema is an uncommon systemic complication of chemotherapy and has been reported in association with methotrexate, cystosine arabinoside, doxorubicin, and 5-fluorouracil. The authors report a case in which the syndrome was precipitated by hepatic artery infusion of 5-FUdR. The previous re...

journal_title：Journal of the National Medical Association

authors： Neuss MN,Akwari OE,Stevenson DF,Goodwin BJ

更新日期：1987-06-01 00:00:00

abstract：:Radiation therapy has been used for the management of breast cancer for many years. Traditionally, it has been an adjunct to the radical mastectomy, but in recent decades major centers have initiated studies replacing the mastectomy with a more limited surgical procedure and, at the same time, have increased the irrad...

journal_title：Journal of the National Medical Association

authors： McCormick B

更新日期：1987-05-01 00:00:00

abstract：:Patients with myasthenia gravis (MG) are too often misdiagnosed as having another disorder. Three patients are presented who were thought to have amyotrophic lateral sclerosis, velopharyngeal incompetence, and no diagnosis of MG, but actually each had myasthenia gravis. Their histories illustrate how the diagnosis of ...

journal_title：Journal of the National Medical Association

authors： Wheeler SD

更新日期：1987-04-01 00:00:00

abstract：:At Howard University Hospital, nine terminally ill cancer patients with chronic pain have been treated with continuous intrathecal infusion of morphine delivered by the implantable Infusaid pump. The case of a patient treated at Howard University Hospital with this method of pain management is presented. Following Inf...

journal_title：Journal of the National Medical Association

authors： Bryant DD 3rd,DeWitty RL Jr,Dennis GC

更新日期：1987-03-01 00:00:00

abstract：:Primary lymphoma of the central nervous system (CNS) is difficult to diagnose because of the difficulty in differentiating it from multiple sclerosis, sarcoidosis, metastatic disease, chronic granulomatous disease, and cerebral cysticercosis. With the patient presented in this report, no abnormalities were found after...

journal_title：Journal of the National Medical Association

authors： Chayasirisobhon S,Kumar V,Ali I,Stiepel C

更新日期：1987-02-01 00:00:00

abstract：:Stroke in black Americans is an important health problem that has been understudied. A brief review of the pertinent literature and strategies for evaluating and managing patients with cerebrovascular disease are presented. ...

journal_title：Journal of the National Medical Association

authors： Caplan LR,Cooper ES

更新日期：1987-01-01 00:00:00

abstract：:Various cardiovascular complications are among the major causes of mortality in renal transplant recipients. The authors examined the cardiovascular findings from necropsy of 18 renal transplant patients. All but three of the patients showed one or more pathological abnormalities. Five patients exhibited severe corona...

journal_title：Journal of the National Medical Association

authors： Frye EB,Vaziri ND,Martin DC,Farooqui S

更新日期：1986-12-01 00:00:00

abstract：:Growth data were analyzed on 406 infants (211 black, 195 white) during their first two years of life. Only term children weighing more than 2500 g were included in the study. Prenatal and postnatal care were provided at the same university affiliated health maintenance organization. Mean birth weight of black female n...

journal_title：Journal of the National Medical Association

authors： Jung E,Czajka-Narins D

更新日期：1986-12-01 00:00:00

abstract：:Loss of integrity of the thoracic duct will produce a chylous thoracic effusion. latrogenic chylothorax occurring during an intrathoracic surgical procedure in the vicinity of the thoracic duct is an omnipresent reality. The fluid is characteristically milky in appearance, sterile, and high in fat content.There seems ...

journal_title：Journal of the National Medical Association

authors： Ajanwachuku VE,Siram SM,Warner OG,Leffall LD Jr

更新日期：1986-11-01 00:00:00

abstract：:At the St. Francis Medical Center during the 20-year period 1960-1980, there were 1,148 primary breast cancers with a 7.1 percent incidence of synchronous and metachronous invasive primary breast cancer. Twenty-one cases (1.8 percent of the total series) illustrate noninvasive cancer of the breast. The essential appro...

journal_title：Journal of the National Medical Association

authors： Smith EB

更新日期：1986-11-01 00:00:00

abstract：:Little is known about the adverse consequences of anemia during infancy or maternal anemia during pregnancy on the behavioral development of the infant. The present research investigates one aspect of these relationships. ...

journal_title：Journal of the National Medical Association

authors： Vaughn J,Brown J,Carter JP

更新日期：1986-10-01 00:00:00

abstract：:Ninety-eight patients underwent successful complete anterior or abdominoperineal resection for primary adenocarcinoma of the rectum, sigmoid, and rectosigmoid. At the time of diagnosis of relapse in 71 of these 98 patients, 36 patients had local-regional recurrence alone, without distant metastases.Twenty-two patients...

journal_title：Journal of the National Medical Association

authors： Good RR,Kumar PP

更新日期：1986-09-01 00:00:00

abstract：:A necropsy study of the pathological findings in the digestive system of 19 renal transplant recipients revealed that gastrointestinal (GI), hepatobiliary, and pancreatic pathologies are common in renal transplant recipients. Fifteen of the 19 patients studied had GI pathology. Hepatobiliary pathology was the most com...

journal_title：Journal of the National Medical Association

authors： Pahl MV,Vaziri ND,Martin DC

更新日期：1986-08-01 00:00:00

abstract：:A case of Burkitt's lymphoma involving both ovaries of a 15-year-old Guatemalan girl is presented along with a brief review of the pertinent literature. ...

journal_title：Journal of the National Medical Association

authors： Weekes LR

更新日期：1986-07-01 00:00:00

abstract：:Forty-two patients with renal cell carcinoma were evaluated with computerized tomography (CT) followed by surgical exploration, extirpative surgery, or autopsy to determine the accuracy of the CT scan in assessing the extension of the disease. There was an overall accuracy of 95 percent (40/42 patients). The two stagi...

journal_title：Journal of the National Medical Association

authors： Waters WB,Culkin D,Love L,Canning JR

更新日期：1986-06-01 00:00:00

abstract：:In the past the study of the allocation of scarce medical resources centered around "high-tech" forms of health care, such as the use of the artificial heart and hemodialysis. The use of nonbiomedical criteria (ie, should the social worth or financial status of a particular patient dictate preferential treatment over ...

journal_title：Journal of the National Medical Association

authors： Elkowitz A

更新日期：1986-05-01 00:00:00

abstract：:Three different noninvasive imaging procedures were performed in a patient after an intravenous pyelogram suggested a suprarenal mass. Presence of a mass was confirmed by ultrasonogram. Computed tomography revealed two masses in the splenic bed that showed contrast enhancement. Radionuclide scans demonstrated multiple...

journal_title：Journal of the National Medical Association

authors： Chung SY,Ryo UY,Pinsky S

更新日期：1986-05-01 00:00:00

abstract：:An overview of psychiatric disorders seen in older patients is reviewed. Dementing illnesses are discussed. A specific method of assessing the patient with cognitive decline in a clear sensorium is presented. ...

journal_title：Journal of the National Medical Association

authors： Baker FM

更新日期：1986-04-01 00:00:00

abstract：:From 1967 to 1977, 72 patients with small cell carcinoma of the lung were seen. Thirty-five of these patients had unilaterally localized lesions (limited disease) and were treated with cobalt 60 radiation therapy (6,000 rad in six weeks) followed by chemotherapy consisting of cyclophosphamide (Cytoxan), vincristine, m...

journal_title：Journal of the National Medical Association

authors： Akbiyik N,Alexander LL

更新日期：1986-03-01 00:00:00

abstract：:Two women over the age of 50 years presented with ketoacidosis as the first manifestation of diabetes mellitus. The first patient failed to respond to a regimen of hourly intramuscular injections of regular insulin. She only improved when a continuous intravenous infusion of regular insulin was utilized. The second pa...

journal_title：Journal of the National Medical Association

authors： Peter SA

更新日期：1986-02-01 00:00:00

abstract：:A left testicular mass was found in a 34-year-old black man with a history of multisystem sarcoidosis of 7½ years duration. Microscopic examination of the excised testicle revealed noncaseating granulomas throughout, as well as a few such lesions in the epididymis. This is the seventh reported, microscopically proven ...

journal_title：Journal of the National Medical Association

authors： Hackney RL Jr,Jackson AG,Worrell RG

更新日期：1986-01-01 00:00:00

abstract：:Upper gastrointestinal bleeding occurs above the ligament of Treitz as a result of duodenal or gastric ulcers, gastric or esophageal varices caused by cirrhosis of the liver, or Mallory-Weiss syndrome. Bleeding that requires more than three units of blood in 24 hours usually demands operative measures. ...

journal_title：Journal of the National Medical Association

authors： Davidson AT

更新日期：1985-11-01 00:00:00